Individual provider Active NPI

Marisa Christine Justice, OTR/L

  • Occupational Therapist
  • Harrison, OH
National Provider Identifier
1124689435
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
10800 Campbell Rd
Harrison, OH 45030-8969
Phone
(513) 503-0288
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OH Primary

Addresses

Primary practice location

10800 Campbell Rd
Harrison, OH 45030-8969

Mailing address

5870 Red Oak Dr
Fairfield, OH 45014-4510
Phone (513) 503-0288

Other practice location 1

400 N Erie Hwy
Hamilton, OH 45011-4263
Phone (513) 503-0288

Other practice location 2

250 Knightsbridge Dr
Hamilton, OH 45011-3167
Phone (513) 868-5650

Other names 1

  • Marisa Christine Grimes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1124689435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 RED OAK DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144510",
            "telephone_number": "513-503-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 CAMPBELL RD",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450308969",
            "telephone_number": "513-503-0288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Erie Hwy",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450114263",
            "country_code": "US",
            "telephone_number": "513-503-0288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Knightsbridge Dr",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450113167",
            "country_code": "US",
            "telephone_number": "513-868-5650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "MARISA",
        "middle_name": "CHRISTINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "GRIMES",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrison, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.